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Spironolactone is a potassium sparing diuretic like eplerenone that competitively inhibits mineralocorticoid receptors in the distal convoluted tubule to promote sodium and water excretion and potassium retention. Spironolactone was originally developed purely for this ability before other pharmacodynamic properties of the drug were discovered. Label Off label uses of spironolactone involving its antiandrogenic activity include hirsutism, female pattern hair loss, and adult acne vulgaris. Spironolactone was developed in, marketed in, and approved by the FDA on January https://safemedsonline.org 21, A governmentally-recognized ID which uniquely identifies the product within its regulatory market. Spironolactone has antiandrogenic activity which leads to many of its off label uses.
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Spironolactone tablets are indicated for treatment of NYHA Class III-IV heart failure and reduced ejection fraction to increase survival, manage edema, and reduce the need for hospitalization for heart failure. Spironolactone tablets are usually administered in conjunction with other heart failure therapies.
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Long-term maintenance therapy for patients with discrete aldosterone-producing adrenal adenomas who are not candidates for surgery or for patients with bilateral micro or macronodular adrenal hyperplasia idiopathic hyperaldosteronism. May be used as long-term maintenance therapy at the lowest effective for patients who are considered unsuitable for surgery.
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Common side effects include electrolyte abnormalities, particularly high blood potassium, nausea, vomiting, headache, rashes, and a decreased desire for sex. Spironolactone was discovered in, and was introduced in
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